Provider Demographics
NPI:1104238690
Name:SAFI, MAY
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:
Last Name:SAFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5383 S BLACK FALLS DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-6088
Mailing Address - Country:US
Mailing Address - Phone:520-260-2631
Mailing Address - Fax:
Practice Address - Street 1:2601 S HOUGHTON RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-1525
Practice Address - Country:US
Practice Address - Phone:520-751-8523
Practice Address - Fax:520-722-5876
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist